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Common use Cialis is an effective, reversible, selective inhibitor of phosphodiesterase type 5 (PDE 5) specific to cyclic guanosine monophosphate (cGMP). When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Cialis leads to increase of cGMP levels in the cavernous body of penis. It results in relaxation of arterial smooth muscles and blood flow to the tissues of the penis that causes erections. Cialis has no effect when sexual stimulation is absent. Cialis improves erection and lets achieve a successful sexual intercourse. The drug acts during 36 hours. If sexual arousal is present the effect appears even after 16 minutes after the medication was taken.

Dosage and direction The recommended dose of Cialis is 20 mg it should be taken at least 16 minutes before the sexual activity. The effect persists during 36 hours. Take Cialis once daily and do not exceed the recommended dose.

Precautions It is preferable not to use Cialis with grapefruit juice, alcoholic beverages, tobacco. If you smoke tobacco and take Cialis concomitantly this may lead to a condition called NAION (sudden optic nerve-related vision loss). Inform your doctor before to take Cialis if you have abnormal penis, including curved penis and birth defects of the penis, had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history.

Contraindications Cialis is contraindicated in patients who are using any form of organic nitrate, either regularly and/ or intermittently as it is able to potentiate hypotensive effect of nitrates.

Possible side effects Most usual side effects of Cialis are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection is longer than 4 hours, seek for immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Cialis was reported.

Missed dose Missed dose is not supposed if Cialis is taken for treatment of erectile dysfunction as it s used when needed.

Overdose Overdose of Cialis causes symptoms described as side effects. Seek for immediate medical help if you by your opinion you took too much of this medication.

Storage Store at room temperature away from moisture, sunlight, kids and pets in a tight container.

Disclaimer We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

I've had wonderful experience with Cialis 10 mg. My first dosage was the 40 mg, but guess it was too high. I went from 20 to 10 just to see if it would still work for me, because they say you always need to take the minimum efficient dose. Cialis 10 mg works just perfectly: you would never guess I'm 63 by the number of women I hook up with every month.

4 stars out of 5

Gonzalo Colorado (04-Oct-2015)

If you are not sure where to order Cialis 10 mg, come to this pharmacy and place your order without any hesitations. These guys are the best at what they do, always giving you low prices and fine quality. I know I can count on them because I never had any reasons to complain, and it's been years since I placed my first order here.

5 stars out of 5

Hanna Kantokorpi (25-Sep-2015)

I love buying Cialis 10 mg at this pharmacy because they never make you wait too long. There is nothing pleasant about having to wait for your erectile dysfunction medicine for weeks, so this pharmacy makes sure you get it in just a couple of days!

4 stars out of 5

Britt Ekland (24-Sep-2015)

I am over 60 and can have sex with my wife two to four times a week with Cialis 40 mg. It could be more, but she does need to rest on some nights if you know what I mean. However, I should warn you that there are many bogus pharmacies out there, so if you have your mind set on ordering Cialis 40 mg, you'd better do it at this very pharmacy. They sell excellent quality Cialis 40 mg that's very potent and safe, so you could not find a better place.

5 stars out of 5

Belmiro Granjeia (22-Sep-2015)

With online pharmacies, the speed of delivery is always the issue, which is why I was thrilled to discover this one. They sell finest quality Cialis 40 mg and make sure you get it as soon as you need, which in my case was just a couple of days. Great job, I am definitely coming back.

5 stars out of 5

Rina Moe (14-Sep-2015)

You always need a pharmacy to come to when you want to order Cialis 20 mg, and this one seems to be the one. I had positive experience shopping for my medicine here, and the best part is that I get high quality for less money than elsewhere. They offer very convenient payment methods, always let you know when you will receive the drugs ordered and are ready to offer professional advice should you need it at some point. I know I did when I was deciding whether to take Cialis 20 mg or 40 mg.

4 stars out of 5

Virgilio Grassi (08-Sep-2015)

I find Cialis 20 mg to be the best erectile dysfunction drug out there, and I have tried quite a few ones. Viagra and Levitra did not do much for me, but Cialis worked perfectly! The 10 mg dose was weak to my taste, so I upped it to see what it would be like. I've never had harder erections in my life, and although I may just be telling myself that, I think my stamina has also improved significantly!

5 stars out of 5

Troels Anderson (23-Aug-2015)

When I was considering treatment for my ED, Cialis 10 mg seemed like the best choice. It's a dose low enough not to be causing side effects (my friend had some of those when taking Cialis 20 mg), yet higher than the minimal 5 mg dose. I gotta tell you, I love how long I can last with Cialis 10 mg, as well as the fact I can initiate sexual intercourse even a day after taking the pill!

5 stars out of 5

Chris Cook (16-Aug-2015)

I chose Cialis 10 mg after trying different dosages. The 5 mg dosage did not do anything for me, while higher doses came with side effects. Cialis 10 mg turned out to work perfectly well without causing any unwanted reactions, so here I am ordering it again, this time in bulk. I mean, it's convenient and all, but I still want to avoid spending extra time on my computer while I could be having sex.

5 stars out of 5

Per Olsen (26-Jul-2015)

Take it from someone who's been trying to cope with erectile dysfunction for a decade: there isn’t anything better than Cialis 40 mg! It's also available at lower dosages, but 40 mg is the one that gets the job done. Of course, some people may get some mild side effects at the beginning, but they go away soon, and the second or third time you take the pill, you have none at all. It's great there is a drug that can make you forget you have ED.

5 stars out of 5

Jean Gaillard (24-Jul-2015)

When it comes to ordering stuff online, what I value most is the speed of delivery. Every time I order Cialis 10 mg at this pharmacy, the delivery is so fast, I barely have time to make reservations at my favorite restaurant and invite a woman out. They are great in many other ways, like they offer really cheap prices and are ready to help you 24/7, but like I said, the speed of delivery is what matters the most to me.

5 stars out of 5

Jacob Samuelsen (23-Jul-2015)

I was previously taking Cialis 20 mg but was not completely happy with the firmness. Then I got Cialis 40 mg samples from this pharmacy, I think it was a bonus that came with one of the orders. I could tell the difference. Cialis 40 mg works exactly the way I imagined it would, my erections are firm and I last longer. The most exciting part is that I can take it on Friday and still be able to have sex on Sunday.

5 stars out of 5

Anita Ekberg (14-Jul-2015)

Cialis 40 mg is the perfect dosage that works for me, and I always order it at the same pharmacy. This pharmacy has really been a great place to buy from, because I always get something as a bonus and there are no questions asked. You don't see too many reliable pharmacies like that around, even though there are plenty of places selling erectile dysfunction treatments. My advice is, look no further, because you have found a great pharmacy to buy Cialis 40 mg from paying a fair price.

4 stars out of 5

Antoine Bailleul (12-Jul-2015)

I come to this pharmacy to order Cialis 10 mg and you will never see me shopping for it anywhere else. It's stupid to pay for brand Cialis at your local pharmacy, get a prescription and all that. Your insurance company won't cover it either, they think sex is a luxury you can pay for you on your own. But with prices this pharmacy offers, I don't need no insurance money to pay for the drug! Cialis 10 mg does not cost that much, yet the efficiency period is incredible!

5 stars out of 5

Arata Chiyoko (05-Jul-2015)

I finally found the best pharmacy to order Cialis 20 mg from, and I am sure you will be able to say the same after you place your first order with them. I find it very convenient to buy Cialis 20 mg here because the price is reasonable, plus you are sure you will be taken the best care of as a customer. If you want to see what online shopping for efficient medications is all about, this pharmacy is just what you have been looking for.

5 stars out of 5

Mirco Martinelli (02-Jul-2015)

If you want best service and fast delivery, this is the pharmacy for you to come to. I get my Cialis 20 mg here and am not planning to go anywhere else as long as I get everything I need in the same place. They do the fastest deliveries you could imagine, which is crucial if you already have plans but no decent erection to look forward to.

4 stars out of 5

Blasco Rebimbas (01-Jul-2015)

If your goal is to keep your sex life going, Cialis 40 mg is the best choice. This is the most common dosage, so I decided to start with it not to waste my time. I am happy to say there were no side effects of any kind, and the medicine works beautifully. There is no reason for me to try a lower dose, because this one gets the job done without causing any side effects, plus this pharmacy offers really great deals that make the treatment affordable.

5 stars out of 5

Carlos Melo (29-Jun-2015)

Erectile dysfunction is no reason to get upset if you have a pharmacy like this one available. I'd definitely recommend it to everyone still in doubt, because I've been ordering Cialis 10 mg here for the last few months. I know I can trust this pharmacy because I did my research and heard nothing but the good stuff about it. I come here for excellent service and low prices for Cialis 10 mg and will keep coming for as long as this little wonder pill gets the job done.

4 stars out of 5

Anton Bauer (17-Jun-2015)

With Cialis 20 mg I always get very hard erections that really last. This is an excellent product that does everything it should, and I am sure this is because I purchased it at this very pharmacy. I am pretty sure because I've heard of cases when people got nasty side effects after purchasing stuff online. This pharmacy is legit, it works with reliable drug manufacturers and I have no complaints.

4 stars out of 5

Anselm Heinefeld (14-Jun-2015)

I thought I would never be able to have sex normally again when I was diagnosed with erectile dysfunction, because my insurance does not cover this. It was a relief to find out I could afford the treatment by shopping for Cialis 20 mg at this wonderful online pharmacy. I order Cialis 40 mg here and break every pill in half to make it Cialis 20 mg, that way it's even more affordable. Oh and my wife could not be happier!